Maple View II East Inc

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

MAPLE VIEW II EAST INC

Doing business as

Maple View North

Practice address

4217 Montreal St
Bismarck, ND 58503-0325

Phone

(701) 223-4133

NPI assigned

Oct 8, 2020

Last updated

Oct 8, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Chad Michael Olson

Title

Cfo

Phone

(701) 852-7700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maple View North Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1750988143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 MONTREAL ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030325",
            "telephone_number": "701-223-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 MONTREAL ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030325",
            "telephone_number": "701-223-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE VIEW II EAST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "701-852-7700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1463604",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple View North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Manly
• Sherice T Mann-Stinson
• Krystal Lee Mann
• Grant Manninen
• Nicole Mansmith
• Diane Marcotte, LRD
• Whitney Mariner, FNP-BC
• Jessie Lee Markovic, OTR/L CLT-LANA
• Rachel Marohl, M.D.
• Jared Marquardt, MD

• Alzheimer Center (Dementia Center) in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Alzheimer Center (Dementia Center) in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.